Techniques in Epilepsy Surgery presents the operative procedures used in the treatment of intractable epilepsy in a practical, clinically relevant manner. Founded by pioneering neurosurgeon Wilder Penfield, the Montreal Neurological Institute (MNI) is a leading global centre of epilepsy surgery and this volume reflects the Institute's approach, combining traditional techniques with modern neuronavigation-based approaches. There is an emphasis on mastering the important trilogy of topographic, vascular and functional anatomy of the brain. The basic anatomical and physiological mechanisms underlying epilepsy are presented in a practical manner, along with the clinical seizure evaluation that leads to a surgical hypothesis. The consultation skills and investigations necessary for appropriate patient selection are discussed, as well as pitfalls and the avoidance of complications. This is an invaluable resource not only for neurosurgeons, neurosurgical residents and fellows in epilepsy surgery, but also for neurologists, and others who provide medical care for patients with intractable epilepsy.
• Combines the MNI approach with modern approaches to epilepsy surgery in an integrated clinical way • Covers evaluation and selection of patients for epilepsy surgery, including history-taking and investigations • Includes step-by-step details of the operative procedures used in epilepsy surgery
Contents
Acknowledgement; Preface; 1. History of epilepsy surgery; 2. The search of the epileptic focus: investigation of the surgical candidate; 3. Surgical anatomy; 4. Neuronavigation and preoperative brain mapping; 5. Stereoelectroencephalography (stereotactic intracranial recording); 6. Anaesthesia and awake procedure; 7. Preoperative cortical mapping; 8. Endopial resection (intervascular endopial gyral emptying); 9. Surgery of temporal lobe epilepsy: cortico-amygdalo-hippocampectomy; 10. Surgery of temporal lobe epilepsy: transcortical selective amygdalo-hippocampectomy; 11. Surgery of central area epilepsy; 12. Surgery of frontal lobe epilepsy; 13. Surgery of parietal lobe epilepsy; 14. Surgery of insular lobe epilepsy; 15. Surgery of occipital lobe epilepsy; 16. Hemispherectomy; 17. Callosotomy; 18. Epilepsy and brain tumours; 19. Surgical treatment of cortical dysplasias; 20. Reoperations in failed epilepsy surgery; 21. Alternate procedures; 22. Complications of epilepsy surgery; 23. Quality of life after epilepsy surgery; Index.
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